Rationale:Post-COVID symptoms need aggressive evaluation.Patient’s Concern:A 29-year-old male patient who had suffered from COVID-19 eight weeks earlier,presented with an acute onset of breathlessness and right-sided...Rationale:Post-COVID symptoms need aggressive evaluation.Patient’s Concern:A 29-year-old male patient who had suffered from COVID-19 eight weeks earlier,presented with an acute onset of breathlessness and right-sided chest pain due to pneumothorax.Emergency tube thoracostomy was performed.However,it failed to improve hypoxia.Diagnosis:High-resolution computed tomography of the thorax with computed tomography pulmonary angiography revealed pulmonary arterial thrombosis,ground-glass opacities,and bilateral pneumatoceles.Interventions:Hospital admission and treatment with low molecular weight heparin at a dose of 1.5 mg/kg every 24 h.Outcomes:The large pneumatocele showed significant resolution after three months of follow-ups.Lessons:Being increasingly reported after having a SARS-CoV-2 infection,pneumatocele formation,due to post-COVID lung scarring and late vascular thrombotic events,is a peculiar sequela and can present as acute dyspnoea.Long-term preventive anticoagulants after recovery from COVID-19 are necessary.Breathing exercises during recovery should be done with caution.展开更多
文摘Rationale:Post-COVID symptoms need aggressive evaluation.Patient’s Concern:A 29-year-old male patient who had suffered from COVID-19 eight weeks earlier,presented with an acute onset of breathlessness and right-sided chest pain due to pneumothorax.Emergency tube thoracostomy was performed.However,it failed to improve hypoxia.Diagnosis:High-resolution computed tomography of the thorax with computed tomography pulmonary angiography revealed pulmonary arterial thrombosis,ground-glass opacities,and bilateral pneumatoceles.Interventions:Hospital admission and treatment with low molecular weight heparin at a dose of 1.5 mg/kg every 24 h.Outcomes:The large pneumatocele showed significant resolution after three months of follow-ups.Lessons:Being increasingly reported after having a SARS-CoV-2 infection,pneumatocele formation,due to post-COVID lung scarring and late vascular thrombotic events,is a peculiar sequela and can present as acute dyspnoea.Long-term preventive anticoagulants after recovery from COVID-19 are necessary.Breathing exercises during recovery should be done with caution.
